Deep Learning for Segmentation using an Open Large-Scale Dataset in 2D Echocardiography
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Abstract (arXiv)
Delineation of the cardiac structures from 2D echocardiographic images is a common clinical task to establish a diagnosis. Over the past decades, the automation of this task has been the subject of intense research. In this paper, we evaluate how far the state-of-the-art encoder-decoder deep convolutional neural network methods can go at assessing 2D echocardiographic images, i.e segmenting cardiac structures as well as estimating clinical indices, on a dataset especially designed to answer this objective. We therefore introduce the Cardiac Acquisitions for Multi-structure Ultrasound Segmentation (CAMUS) dataset, the largest publicly-available and fully-annotated dataset for the purpose of echocardiographic assessment. The dataset contains two and four-chamber acquisitions from 500 patients with reference measurements from one cardiologist on the full dataset and from three cardiologists on a fold of 50 patients. Results show that encoder-decoder based architectures outperform state-of-the-art non-deep learning methods and faithfully reproduce the expert analysis for the end-diastolic and end-systolic left ventricular volumes, with a mean correlation of 0.95 and an absolute mean error of 9.5 ml. Concerning the ejection fraction of the left ventricle, results are more contrasted with a mean correlation coefficient of 0.80 and an absolute mean error of 5.6 %. Although these results are below the inter-observer scores, they remain slightly worse than the intra-observer's ones. Based on this observation, areas for improvement are defined, which open the door for accurate and fully-automatic analysis of 2D echocardiographic images.
Key facts. Cited by 243 papers in the map (data through 7 Oct 2026). First posted on arXiv 16 Aug 2019.
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Citing papers per year: 2021: 12; 2022: 14; 2023: 36; 2024: 52; 2025: 71; 2026: 58.
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- 2023UniverSeg: Universal Medical Image Segmentationcited by 90
- 2025MedSAM2: Segment Anything in 3D Medical Images and Videoscited by 88
- 2023A Review of Uncertainty Estimation and its Application in Medical Imagingcited by 59
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- 2021Echocardiography Segmentation with Enforced Temporal Consistencycited by 30
- 2021A Systematic Collection of Medical Image Datasets for Deep Learningcited by 29
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- 2021A New Semi-supervised Learning Benchmark for Classifying View and Diagnosing Aortic Stenosis from Echocardiogramscited by 15
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- 2024EchoFM: Foundation Model for Generalizable Echocardiogram Analysiscited by 14
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50 most cited of 243 All 243 (JSON)
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- 2026Detecting and refurbishing ground truth errors during training of deep learning-based echocardiography segmentation models14 Apr 2026
- 2026EchoAgent: Towards Reliable Echocardiography Interpretation with "Eyes","Hands" and "Minds"7 Apr 2026
- 2026Contour-Guided Query-Based Feature Fusion for Boundary-Aware and Generalizable Cardiac Ultrasound Segmentation30 Mar 2026
- 2026EchoLVFM: One-Step Video Generation via Latent Flow Matching for Echocardiogram Synthesis14 Mar 2026
- 2026GP-VM×SMA: Benchmarking General-Purpose Vision Models and Specialized Architectures for 2D Medical Image Segmentation13 Mar 2026
- 2026Shifting Adaptation from Weight Space to Memory Space: A Memory-Augmented Agent for Medical Image Segmentation6 Mar 2026
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- 2025From Transthoracic to Transesophageal: Cross-Modality Generation using LoRA Diffusioncited by 2
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- 2026Recursive Uncertainty-Gated Image Registration for Learning-based Algorithms23 Sep 2026
- 2026UniH3: Unifying Hierarchical Homogeneity and Heterogeneity for All-in-One Medical Image Restoration10 Sep 2026
- 2026Two-Parameter Flow Map Learning for Continuous-Time Diffeomorphic Image Registration9 Sep 2026
- 2026Myocardial Strain Drift Correction in Deep Learning Based Ultrasound Tracking9 Sep 2026
- 2026Learning from Scarce Labels: Multi-View Echocardiography for Ejection Fraction Prediction2 Sep 2026
- 2026MedSegBenchmarker: A Raw-Count-First Framework for Controlled 2D Medical Image Segmentation Benchmarks30 Aug 2026
- 2026SCoPE-Reg: Efficient Rigid Ultrasound Slice-to-Volume Registration via State-Space Correlation and Closed-Form Pose Estimation28 Aug 2026
- 2026Prompt-Conditioned Channel Attention for Hierarchical Feature Modulation toward Anatomy-Agnostic Segmentation20 Aug 2026
- 2026FUSEP: A Multi-Center Benchmark for Diverse Tasks in Early Pregnancy Fetal Ultrasound Screening5 Aug 2026
- 2026When Oracle Conditioning Misleads Deployment: Conditioning-Availability Bias in Echocardiographic Segmentation4 Aug 2026
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